Sentara Medical Group

NPI #1043592462 in Lake Ridge, Virginia

Provider Information

NPI Number: 1043592462
Entity Type: Organization
Organization Name: Sentara Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Sep 12, 2011
Last Updated: Mar 28, 2017

Practice Location

Address: 12825 MINNIEVILLE RD
Address 2: STE 202
City: Lake Ridge
State: Virginia
ZIP Code: 22192-3601
Phone: (571) 542-4950

Authorized Official

Name: MRS. CINDY A TAYLOR
Title: MANAGER
Phone: (757) 252-2765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Sentara Medical Group	Family Medicine	Lake Ridge	AI Deep Dive

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